HomeMy WebLinkAbout113109 WATERFORD CORPORATION - INSURANCE CERTIFICATE (2)rlrantA SRR59
WATrnR
ACORD. CERTIFICATE
OF LIABILITY
INSURANCE
3/18/08100m1
PRODUCER
THIS CERTIFICATE
IS ISSUED AS A MATTER OF INFORMATION
Van Gilder Insurance Corp
700 BroadwaySuite 1000
ONLY
HOLDER
ALTER
AND CONFERS NO RIGHTS UPON THE CERTIFICATE
THIS CERTIFICATE DOES NOT AMEND EXTEND OR
THE COVERAGE AFFORDED BY THE POLICIES BELOW
Denver CO 80203
303 837 8500
INSURERS AFFORDING COVERAGE
INSURED
Waterford Corporation
404 N Link Lane
Fort Collins CO 80523
INSURERA
Auto Owners Insurance Group (CL)
INSURER B
Pinnacol Assurance
INSURER C
INSURER D
INSURER E
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING
ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
NSR
7R
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION
DATE D
LIMITS
A
GENERAL LIABILITY
0446327413177807
06/23/07
06/23/08
EACH OCCURRENCE
$1 000 000
FIRE DAMAGE (Any one fife)
$50000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 56 OCCUR
MED EXP (Any me person)
$5 000
PERSONAL BADV INJURY
$1 000000
GENERAL AGGREGATE
$2 000 000
GEN L AGGREGATE L IM ITAPPL [ES PER
PRODUCTS COMP/OPAGG
s2000000
17 POLICY PRO
JECT LOC
A
AUTOMOBILE
X
LIABILITY
ANY AUTO
0446327413177807
06/23/07
06/23/08
COMBINED SINGLE LIMIT
(Ea accident)
$1 OOO OOO
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
X
X
HIRED AUTOS
NON OWNED AUTOS
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
— — — -
GARAGE LIABILITY
AUTOONLY EAACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY AGG
A
EXCESS LIABILITY
n
X OCCUR a CLAIMS MADE
0446327413177807
06/23/07
06/23/08
EACH OCCURRENCE
$1 000 000
AGGREGATE
$1 000 000
DEDUCTIBLE
Is
RETENTION $
B
WORKERS COMPENSATION AND
4105522
06/01/07
06/01/08
X WCSTATU OTH
_UM TS FIR
EMPLOYERS LIABILITY
EL EACH ACCIDENT
$1 0O0 00O
E L DISEASE EA EMPLOYEE
$1 000 000
EL DISEASE POLICY LIMIT
$1 p000,000
OTHER
DESCRIPTION OF OPERA nONSILOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CANCELS AND REPLACES CERT #526514 DATED 11/13/07
As required by written contract or written agreement City of Ft Collins its officers
agents and employees are Included as Additional Insureds for ongoing operations under
General Liability with respect to the above referenced
10 Notice of Cancellation for non payment
City of Ft Collins
Attn Purchasing Division
215 N Mason
Fort Collins CO 80522
SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TH E EXPIRATION
DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TOMAIL 30—DAYSWRITEN
NOTICE TOTHE CERTIFICATE HOLDER NAM ED TOTH E LEFT BUTFAILURE TO DO SO SHALL
IMPOSE NOOBLIGATION OR LIABILITYOF ANYKIND UPON THE INSURER ITS AGENTS OR
R 17/071. _.. .iu«......
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